Medical fluid delivery sets and related systems and methods

• US 9,624,915 B2
• Filed: 02/15/2012
• Issued: 04/18/2017
• Est. Priority Date: 03/09/2011
• Status: Active Grant

• Current Assignee: Fresenius Medical Care Holdings Incorporated (Fresenius SE & Co. KGaA)
• Original Assignee: Fresenius Medical Care Holdings Incorporated (Fresenius SE & Co. KGaA)
• Inventors: Medina, Carlos E.
• Primary Examiner(s): Bouchelle, Laura
• Assistant Examiner(s): Zamory, Justin L
• Application Number:
  US13/397,302
• Publication Number:
  US 20120232469A1
• Time in Patent Office: 1,889 Days
• Field of Search: 604 27, 604 29, 604 30, 604131, 604151, 604152, 604154, 604156
• CPC Class Codes: A61M 1/1524 the interface providing means for actuating on functional elements of the cassette, e.g. plungers
• CPC Class Codes: A61M 1/154 with sensing means or components thereof
• CPC Class Codes: A61M 1/155 with treatment-fluid pumping means or components thereof
• CPC Class Codes: A61M 1/1561 at least one cassette surface or portion thereof being flexible, e.g. the cassette having a rigid base portion with preformed channels and being covered with a foil
• CPC Class Codes: A61M 1/1565 Details of valves
• CPC Class Codes: A61M 1/159 specially adapted for peritoneal dialysis
• CPC Class Codes: A61M 1/28 Peritoneal dialysis ; Other peritoneal treatment, e.g. oxygenation
• CPC Class Codes: A61M 2205/12 with interchangeable cassettes forming partially or totally the fluid circuit
• CPC Class Codes: A61M 5/31511 Piston or piston-rod constructions, e.g. connection of piston with piston-rod A61M5/5066 takes precedence
• CPC Class Codes: F04B 9/02 the means being mechanical

Abstract

This disclosure relates to medical fluid delivery sets and related systems and methods. In some aspects of the invention, a medical fluid delivery set includes a syringe connected to a series of interconnected fluid lines. The syringe includes a medical fluid containment cylinder and a plunger assembly that can be axially moved relative to the medical fluid containment cylinder. The plunger assembly includes an inner plunger shaft including a seal that is slidably disposed within the medical fluid containment cylinder and an outer plunger shaft that at least partially surrounds the inner plunger shaft to form a space between an outer surface of the inner plunger shaft and an inner surface of the outer plunger shaft that is sized to receive a wall of the medical fluid containment cylinder therein.

Claims

1. A medical fluid pumping system, comprising:

a medical fluid pumping machine comprising a drive mechanism comprising a motor; and

a medical fluid delivery set comprising a single-chamber syringe that can be operatively connected to the drive mechanism and a series of interconnected fluid lines, the series of interconnected fluid lines comprising a dialysis solution line configured to be connected to a dialysis solution container during a dialysis treatment, the syringe comprising

a medical fluid containment cylinder;

a plunger assembly that can be axially moved relative to the medical fluid containment cylinder, the plunger assembly comprising

an inner plunger shaft comprising a first seal that is slidably disposed within the medical fluid containment cylinder such that a substantially liquid-tight seal is maintained between the first seal of the inner plunger shaft and an inner surface of the medical fluid containment cylinder as the inner plunger shaft slides axially within the medical fluid containment cylinder, the first seal of the inner plunger shaft and the medical fluid containment cylinder cooperating to at least partially define a fluid pump chamber, and

an outer plunger shaft that at least partially surrounds the inner plunger shaft to form a space between an outer surface of the inner plunger shaft and an inner surface of the outer plunger shaft, the space being sized to receive a wall of the medical fluid containment cylinder therein, and the outer plunger shaft forming an outer circumferential surface of the syringe; and

a second seal positioned between an outer surface of the medical fluid containment cylinder and an inner surface of the outer plunger shaft such that a substantially liquid-tight seal is maintained therebetween,

wherein the second seal is coupled to the outer surface of the medical fluid containment cylinder and the first seal is coupled to the inner plunger shaft such that the first seal moves relative to the second seal when the plunger assembly is moved relative to the medical fluid containment cylinder, and

wherein, when the syringe of the medical fluid delivery set is operatively engaged with the drive mechanism, the motor can be rotated to axially displace the plunger assembly relative to the medical fluid containment cylinder to force a medical fluid out of the fluid pump chamber and to draw the medical fluid into the fluid pump chamber.

2. The medical fluid pumping system of claim 1, wherein the second seal comprises an o-ring positioned between the outer plunger shaft and the medical fluid containment cylinder to create the substantially liquid-tight seal therebetween.

3. The medical fluid pumping system of claim 1, wherein at least one line of the series of interconnected fluid lines is connected to a port of the medical fluid containment cylinder that is in fluid communication with the fluid pump chamber.

4. The medical fluid pumping system of claim 1, wherein the medical fluid pumping machine further comprises a plurality of valves, each of the valves being configured to occlude a portion of one line of the series of interconnected fluid lines when activated.

5. The medical fluid pumping system of claim 1, wherein the fluid pump chamber has a volumetric capacity of at least 200 cubic centimeters.

6. The medical fluid pumping system of claim 1, wherein the medical fluid delivery set further comprises a second syringe.

7. The medical fluid pumping system of claim 6, wherein the medical fluid pumping machine further comprises a second drive mechanism operatively engaged with the second syringe and comprising a motor that can be rotated to axially displace a plunger assembly of the second syringe relative to a medical fluid containment cylinder of the second syringe to force the medical fluid out of a fluid pump chamber of the second syringe and to draw the medical fluid into the fluid pump chamber of the second syringe.

9. The medical fluid pumping system of claim 1, wherein the series of interconnected fluid lines is configured to draw the medical fluid from multiple sources into the medical fluid containment cylinder and to deliver the medical fluid through the series of interconnected fluid lines to multiple destinations from the medical fluid containment cylinder.

10. The medical fluid pumping system of claim 1, wherein the series of interconnected fluid lines comprises a patient line configured to be connected, using a catheter, to an abdomen of a patient during the dialysis treatment.

11. The medical fluid pumping system of claim 1, wherein the series of interconnected fluid lines comprises a drain line configured to be connected to a drain.

12. The medical fluid pumping system of claim 1, wherein the dialysis solution container is a dialysis solution bag.

13. The medical fluid pumping system of claim 2, wherein the o-ring is secured to an outer surface of the medical fluid containment cylinder.

18. The medical fluid pumping system of claim 1, wherein the nozzle is positioned at a first end portion of the medical fluid containment cylinder, and the second seal is positioned at a second end portion of the medical fluid containment cylinder opposite to the first end portion of the medical fluid containment cylinder, the second seal being secured to the outer surface of the medical fluid containment cylinder such that the first seal, the second seal, the inner plunger shaft, and the outer plunger shaft form a space to contain leaked medical fluid.

8. A medical fluid delivery set, comprising:

a single-chamber syringe connected to a series of interconnected fluid lines, the series of interconnected fluid lines comprising a dialysis solution line configured to be connected to a dialysis solution container during a dialysis treatment, and the syringe comprising

a medical fluid containment cylinder;

a plunger assembly that can be axially moved relative to the medical fluid containment cylinder, the plunger assembly comprising

an inner plunger shaft comprising a first seal that is slidably disposed within the medical fluid containment cylinder such that a substantially liquid-tight seal is maintained between the first seal of the inner plunger shaft and an inner surface of the medical fluid containment cylinder as the inner plunger shaft slides axially within the medical fluid containment cylinder, the first seal of the inner plunger shaft and the medical fluid containment cylinder cooperating to at least partially define a fluid pump chamber, and

an outer plunger shaft that at least partially surrounds the inner plunger shaft to form a space between an outer surface of the inner plunger shaft and an inner surface of the outer plunger shaft, the space being sized to receive a wall of the medical fluid containment cylinder therein, and the outer plunger shaft forming an outer circumferential surface of the syringe; and

a second seal positioned between an outer surface of the medical fluid containment cylinder and an inner surface of the outer plunger shaft such that a substantially liquid-tight seal is maintained therebetween,

wherein the second seal is coupled to the outer surface of the medical fluid containment cylinder and the first seal is coupled to the inner plunger shaft such that the first seal moves relative to the second seal when the plunger assembly is moved relative to the medical fluid containment cylinder, and

wherein the single-chamber syringe is configured to draw a medical fluid through the series of interconnected fluid lines from multiple sources into the medical fluid containment cylinder and to deliver the medical fluid through the series of interconnected fluid lines to multiple destinations from the medical fluid containment cylinder.

14. The medical fluid delivery set of claim 8, wherein the series of interconnected fluid lines is configured to draw the medical fluid from multiple sources into the medical fluid containment cylinder and to deliver the medical fluid through the series of interconnected fluid lines to multiple destinations from the medical fluid containment cylinder.

15. The medical fluid delivery set of claim 8, wherein the series of interconnected fluid lines comprises a patient line configured to be connected, using a catheter, to an abdomen of a patient during the dialysis treatment.

16. The medical fluid delivery set of claim 8, wherein the series of interconnected fluid lines comprises a drain line configured to be connected to a drain.

17. The medical fluid delivery set of claim 8, wherein the dialysis solution container is a dialysis solution bag.

19. The medical fluid delivery set of claim 8, wherein the nozzle is positioned at a first end portion of the medical fluid containment cylinder, and the second seal is positioned at a second end portion of the medical fluid containment cylinder opposite to the first end portion of the medical fluid containment cylinder, the second seal being secured to the outer surface of the medical fluid containment cylinder such that the first seal, the second seal, the inner plunger shaft, and the outer plunger shaft form a space to contain leaked medical fluid.